Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Dakota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Dakota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Dakota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Altru Health System (NPI 1154346161)

Field	Value
Entity Type	Organization
Organization	Altru Health System
Address	1200 S Columbia Rd
City	Grand Forks
State	ND
ZIP	58201
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicaid	$18.7M
Medicare	$0

Key Findings

ALTRU HEALTH SYSTEM is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue is $18.7M, which indicates the hospital’s revenue profile is concentrated in state Medicaid rather than Medicare. This payer mix suggests exposure and operational focus are predominantly tied to Medicaid reimbursement policies and managed care arrangements in North Dakota.

Revenue concentration is high: the precomputed top three Medicaid codes account for 46.6% of the provider’s total Medicaid revenue. Those leading codes include 99283 ($3.2M, 17.6% of Medicaid revenue), 99284 ($3.0M, 16.4%), and A0429 ($2.3M, 12.7%), signaling that a small set of ED and transport services drive nearly half of Medicaid receipts.

The code mix points to an emergency department and EMS-centric operation: 99283 shows 19.9K claims at $159 avg paid/claim ($3.2M revenue) and ranks #3 of 48 providers in-state (96th percentile; notably above typical state volume for this code), while ambulance codes A0429 and A0427 each generate multi-million dollar revenue ($2.3M and $2.2M respectively) and rank in the upper state percentiles. High volumes of moderate-acuity ED visits (99284, 14.5K claims, $3.0M revenue) further underline a busy ED throughput supported by frequent emergency transport.

ALTRU is a strong in-state performer for several high-volume outpatient therapy and rehabilitation services: 97530 has 21.6K claims and $1.4M revenue (7.7% of Medicaid revenue) and ranks #5 of 67 providers (94th percentile), while 92507 has 17.9K claims and $1.3M revenue (7.4%) and ranks #5 of 61 providers (93th percentile; notably above typical state volume for this code). These figures indicate substantial therapy caseloads that represent a meaningful non-emergent revenue stream.

The provider occupies a unique role for at least one ED billing category: G0381 (level 2 hospital ED in a type b ED) shows 6.7K claims and $314.9K revenue and ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available), implying ALTRU may be the sole filer of this specific ED type classification in the Medicaid dataset. That uniqueness could reflect local facility licensing, service configuration, or coding practice that distinguishes its ED operations from other in-state hospitals.

High-volume low-reimbursement lab and ancillary services support the clinical footprint: 36415 records 23.1K claims at $3 avg paid/claim ($69.4K revenue) and ranks #5 of 91 providers (96th percentile; notably above typical state volume), while 80053 has 15.4K claims at $4 avg paid/claim ($61.8K revenue) and ranks #7 of 47 providers (87th percentile). These volumes reflect heavy routine outpatient testing and phlebotomy throughput consistent with a busy hospital outpatient and clinic platform.

While ALTRU shows strong Medicaid ED/EMS and rehab volumes, its participation in higher-revenue specialized procedures appears more modest: 43239 endoscopic biopsies generate $132.4K (0.7% of Medicaid revenue) and rank #8 of 11 providers (30th percentile), and 74177 CT abdomen/pelvis with contrast contributes $61.5K (0.3%) and ranks #9 of 19 (56th percentile). This suggests the hospital’s mix skews toward ED, transport, and therapy services rather than high-volume advanced procedural specialties.

The provider has been active in the NPI registry since 2006-07-12 (~20 years ago), indicating an established market presence. Combined with the concentrated Medicaid revenue base and its state-level ranking strengths in ED, EMS, and therapy codes, ALTRU appears to be a longstanding community acute-care hospital with operational emphasis on emergency and rehabilitative services rather than broad, high-volume specialty procedural care.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

215 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	19,920	$160	$3.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	14,470	$200	$3M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	7,300	$310	$2.3M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	6,490	$340	$2.2M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	21,630	$60	$1.4M
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	17,860	$80	$1.3M
A0425	Ground mileage, per statute mile	15,260	$60	$930.7K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	27,400	$30	$794.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	4,620	$120	$540.1K
A0998	Ambulance response and treatment, no transport	2,650	$200	$527.2K

Showing 1–10 of 215

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Dakota Distribution

Altru Health System — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

215 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	3	10	4,940	$60	$2.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	10	20	1,120	$220	$2M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	4	20	1,330	$340	$1.6M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	8	30	1,280	$180	$1.4M
A0427	Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)	3	20	1,740	$370	$1.3M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	3	50	670	$150	$829.9K
A0425	Ground mileage, per statute mile	4	20	2,080	$100	$703K
J0585	Injection, onabotulinumtoxina, 1 unit	6	10	140	$380	$576.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	5	70	1,950	$60	$387K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	5	60	1,860	$60	$348.7K

Showing 1–10 of 215

Related Providers

Other providers that share a Tax Identification Number (TIN) with Altru Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Altru Health System	ND	Clinic/Center	$0	$29.7M
Max Johnson	ND	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Altru Health System	ND	Rural Health Clinic/Center	$0	$1.5M
Dwight Fitch	FL	Radiation Oncology Physician	$1.5M	$0
Altru Health System	ND	Ambulance	$527.6K	$490.7K
Darrin Johnson	MN	Diagnostic Radiology Physician	$908.4K	$0
Shree Subedi	WA	Diagnostic Radiology Physician	$774.2K	$0
Altru Specialty Services, Inc	ND	Durable Medical Equipment & Medical Supplies	$0	$766.7K
Matthew Manganaro	NY	Diagnostic Radiology Physician	$688K	$0
James Sullivan	MN	Diagnostic Radiology Physician	$589.8K	$0

Nearby Providers

Other providers in the same ZIP code as Altru Health System, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Development Homes Inc	ND	Community/Behavioral Health Agency	$0	$53.9M
L.i.s.t.e.n. Inc	ND	Community/Behavioral Health Agency	$0	$9.4M
Peterson Medical Clinics, LLC	ND	Multi-Specialty Clinic/Center	$0	$8.8M
Edgewood Sartell LLC	ND	Assisted Living Facility	$0	$7.1M
Northeast Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M
Spectra Health	ND	Federally Qualified Health Center (FQHC)	$0	$5.5M
Little Miracles, Inc.	ND	Multi-Specialty Clinic/Center	$0	$5.5M
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0
Valley Oral & Facial Surgery PC	ND	Oral and Maxillofacial Surgery Clinic/Center	$0	$4.5M
Rehabauthority, LLC	ND	Multi-Specialty Clinic/Center	$0	$3.5M

Altru Health System — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References